Laserfiche WebLink
In -Kind $ <br />Explain <br />Is Equipment being purchased? Who owns equipment? <br />New Personnel being hired? Contact HR hiring — reporting requirements <br />Future impacts or liability to Kittitas County: <br />Budget Information <br />Budget Amendment Needed? Yes ❑ attach budget form No EA Why not <br />New Division Created? Fund Neutral <br />Revenue Code 116.612.47 Behavioral Health & Recovery <br />612.47.1.333.93.959 SABG Substance Abuse Block Grant SFY-19 $71,553 — $2,956 = $68,597 <br />612.47.3.334.04.6x GFS General Fund State Admin SFY-19 $ 3,009 + $2,956 = $ 5,965 <br />Pass Through Information <br />Agency to Pass Through <br />Amount to Pass Through $ <br />Sub -Contract Aanroved Date: <br />Prosecutor Review <br />Has the Prosecutor reviewed this agreement? Yes ❑ No ❑ <br />County Departments Impacted <br />Auditor <br />Facilities Maintenance <br />Information Services <br />Human Resource <br />Prosecutor <br />Treasurer <br />Submitted <br />Signature: Date. <br />Department: <br />Information <br />Reviewer I Date <br />Grant/Contract Review Page 2 <br />